Definitions.

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As used in the Transparency in Health Care Prices Act:

1. "Agency" means a government department, agency or a government-created entity;

2. "CPT code" means the Current Procedural Terminology code, or its successor code, as developed and copyrighted by the American Medical Association or its successor entity;

3. "Health care facility" means a facility licensed or certified by the State Department of Health, but shall not include a nursing care facility, assisted living facility or home care agency;

4. "Health care price" means the cash price that a health care provider or health care facility will charge a recipient for health care services that will be rendered. Health care price is the price charged for the standard service for the particular diagnosis and does not include any amount that may be charged for complications or exceptional treatment;

5. "Health care provider" means a person who is licensed, certified or registered by this state to provide health care services or a medical group, independent practice association or professional corporation providing health care services;

6. "Health care services" or "services" means services included in, or incidental to, furnishing to an individual:

  • a.medical, mental, dental or optometric care or hospitalization, or
  • b.other services for the purpose of preventing, alleviating, curing or healing a physical or mental illness or injury;

7. "Recipient" means an individual who receives health care services from a health care provider or health care facility; and

8. "Specialty service line" means health care services rendered by a specific medical specialist to include, but not be limited to:

  • a.general surgery,
  • b.obstetrics or gynecology,
  • c.cardiology,
  • d.urology,
  • e.ophthalmology,
  • f.neurology/neurosurgery,
  • g.orthopedics,
  • h.hematology/oncology,
  • i.pathology,
  • j.radiology,
  • k.emergency medicine,
  • l.physical therapy, or
  • m.another specialty service provided by a health care facility.

Added by Laws 2021, c. 371, § 2, eff. Nov. 1, 2021.


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